Individual provider Active NPI

Anna Lessley Davis, O.D.

  • Optometrist
  • Gadsden, AL
National Provider Identifier
1043526445
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SC41TA858 Issued in AL
Practice address
1411 Piedmont Cutoff
Gadsden, AL 35903-2708
Phone
(256) 492-0131
NPI assigned
Aug 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SC41TA858 AL Primary

Addresses

Primary practice location

1411 Piedmont Cutoff
Gadsden, AL 35903-2708

Mailing address

510 N Main St
Boaz, AL 35957-1432
Phone (256) 492-0131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101118000258 AL Practitioner - Optometry 1557557493 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC41TA858ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Health Services, Inc Current Accepting new patients

Locations

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1043526445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N MAIN ST",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359571432",
            "telephone_number": "256-492-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 PIEDMONT CUTOFF",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359032708",
            "telephone_number": "256-492-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANNA",
        "middle_name": "LESSLEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SC41TA858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.